🧵 The ANA Test — Medicine’s Most Misinterpreted Marker Up to 1 in 7 healthy adults test positive and never develop autoimmune disease. Read the full post here: 🔗 haus.health/blog/ana-tes... #Rheumatology #Autoimmune #Lupus #Medicine

GCA is a rare autoimmune disease that causes inflammation in the blood vessels — often leading to headaches, scalp tenderness, jaw pain when chewing, and in some cases, vision loss. Awareness saves sight. #GCAAwarenessDay #ChronicIllnessCommunity #InvisibleIllness #AutoimmuneWarrior #CreakyJoints

Random. Have you ever seen someone demoing a rowing machine with good form, without knees coming up before hands pass etc.

Someone posted about their tachycardia moment. Is anti-MDA5 associated ILD etc the ANCA positive ILD etc of this century?

CIPS (Calcineurin Inhibitor-induced Pain Syndrome) ✅ Acute symmetric pain in transplant pts on CNI ✅ distal → proximal joints ✅ MRI: subchondral/periarticular edema; T1↓, T2↑ ✅ Bone scan: calcaneal uptake↑ ✅ Treatment: Ca channel blockers #Rdiag #MSKRad #RadSky #MedSky PMID: 23615775

In case you missed the poster session this morning #ISNWCN APPEAR -C3G trial results showing promising at 12 months ✨Nice seeing @profnickwebb.bsky.social

JOB ALERT FOR NEUROLOGY TRAINEES. On www.oriel.nhs.uk now. Academic Clinical Lecturer post in Dementia & Neurodegeneration @imperialbrains.bsky.social. Research can cover any aspect of the above. Please repost and feel free to contact me if interested (am at ABN SIG meeting today).

Have definitely seen a few of these in #rheumatology as one of the painless lumpy bumpy things that we are asked about. There was a painful one though that spread under the hand flexor retinaculum. Pleased with the name change as the old one just never quite rolled off the tongue.

From 2023, a nice discussion of retinal vein occlusions. I might always be on the lookout for #GCA but being clearer on the other options for painless vision loss is valuable. lrn.peerview.com/150209033_1_...

Holey monstera!!

That is very thought provoking. An #INR of 20.5, and such a high anti-TTG!!!

Please, por favor, s'il vous plait, put something, anything in the profile spiel to catch the moucha.

Please @bluesky, come up with a #bookmark tab. Screenshots are tedious.

@benoitbrilland.bsky.social Could you add me to your starter list please

Thanks, added this to my profile.

Urine Protein Tests in Lupus: What do They Mean? | The Journal of Rheumatology https://buff.ly/3EhcTTl

Bosentan protective in development of PAH in SSc patients?? #systemicsclerosis #scleroderma #rheumsky www.jrheum.org/content/earl...

I would always suggest that you bring in a urine sample for your SLE consultations. Lupus nephritis doesn't have to be specifically symptomatic and a urine dip result can highlight if your kidney is unhappy (blood, protein). Of course there are other tests but this is a simple one.

Good article. Thanks for sharing. Interesting to see a target for novel pain pathways. The difference with the sciatica pain also intriguing. Something to follow.

I read once, that a sign of a civilised society was finding evidence of bone growth in someone with a broken thigh. Here's to new bone growth in our society. whofoundation.donorsupport.co/page/FUNEKRB... #1dollar1world #HealthForAll whofoundation.donorsupport.co/page/FUNEKRB...

🧪 Modern menopausal hormone therapy, using safer options like transdermal patches and bioidentical hormones, may lower risks of heart disease and osteoporosis if started within 10 years of menopause or before age 60. 🩺 🛟

Attention #Medsky! We’re slowly rolling out the new .medsky.social handle. Like the labeler this is another way to show your colleagues you’re a part of the Medsky network, and what’s great is you don’t have to be subscribed to the labeler for people to see it! DM me to get your invite link!

Thanks @richard.medsky.social for organizing & adding me to the .medsky.social.handle! DM Richard for an invite link to the labeler 👇 #medsky

“...electrical stimulation of the vagus nerve—a major nerve connecting the brain and gut—may combat the #stress-related #inflammation that worsens #IBD symptoms.” bit.ly/3OjM8iG bit.ly/3YZYqBW

Myositis specific antibodies. #Medsky x.com/Dr_Aravind_P...

Tues 28 Jan I'm going to be doing a webinar for the MindTheBleep FY1 series on wellbeing working night shifts - planning to discuss sleep cycles, decision fatigue and strategies to minimise risks for our patients and ourselves. Hope you can join! #MedSky app.medall.org/event-listin...

A 71-year-old woman presented with a 5-month history of progressively worsening painful skin tightening and swelling of her extremities. Physical exam revealed bilateral edema in the forearms and legs, with erythema and skin induration #Medsky

A bit more about #dermatomyositis www.ncbi.nlm.nih.gov/books/NBK558...

"#Dermatomyositis is a chronic autoimmune disease with distinctive cutaneous eruptions and muscle weakness, and the pathophysiology is characterised by type I interferon (IFN) dysregulation. ...."https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)02071-3/abstract

Or were you thinking along these lines.... @msugrad70.bsky.social

New: "In summary, a higher consumption of fiber and fructose but a lower consumption of glucose was associated with a lower risk of diabetes." #diabetes #type2diabetes #medsky #fiber #fructose #fruit nutritionj.biomedcentral.com/articles/10....

MedSky Consider bringing friends and colleagues onto this platform by including quick intro slides in your talks, if relevant

Great article. I try and get the patient to own it. They need to know their uric acid target, they need to adjust their (usually) allopurinol in 100 mg increments. Give them the tools!!!

Have you seen this @drnicolec.bsky.social I saw your post today and thought this is a bit of news.

Books by Frank Herbert www.addall.com/books-in-ord...

Books by Elizabeth Moon www.addall.com/books-in-ord...

Books by Adrian Tchaikovsky www.addall.com/books-in-ord...

Books by Orson Scott Card www.addall.com/books-in-ord...

Books by Arthur C Clarke www.addall.com/books-in-ord...

Books by Isaac Asimov www.addall.com/books-in-ord...

Books by David Brin www.addall.com/books-in-ord...

Books by David Weber www.addall.com/books-in-ord...

Books by Anne McCaffrey www.addall.com/books-in-ord...

Books by Robert Heinlein www.addall.com/books-in-ord...

This is how I present info to patients for shared decisions making about whether they want to get the vaccine. 🤓

An #antibody is a protein generated in a patterned immune response. Exposure to #antigens from external sources (from bacteria, virus, vaccines..) or from inside (e.g. cell components not in their usual locations, self components not recognised as intrinsically you) starts the machinery going....

A look back at the 2024 Nature Reviews Rheumatology covers, our art editor Steven Hall is brilliant🎨👏 Looking forward to the wonderful cover art that 2025 will bring!

As a heart-doc I’m a bit challenged when I have to deal with kidney physiology, but this graphical abstract is really beautiful to explain where and how our diuretics are actually acting!

Obstructive vs Restrictive lung disease 🫁 #medsky #pulmsky @gbosslet.bsky.social @kerrijohannson.bsky.social @pulmpeeps.bsky.social @sthanu25.bsky.social